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    • 1. 发明授权
    • Implantable infusion device
    • 植入式输液装置
    • US5057084A
    • 1991-10-15
    • US487541
    • 1990-03-01
    • William D. EnsmingerJames A. KnolJames C. Andrews
    • William D. EnsmingerJames A. KnolJames C. Andrews
    • A61M39/02A61M39/06
    • A61M39/0606A61M39/0208A61M2039/0211A61M2039/062A61M2039/0633A61M2039/064A61M2039/0653A61M2039/0666A61M2039/0686
    • An infusion part for implantation adapted for providing repeated access to specific tissue within a patient and communicating with the tissue by an internal implanted catheter. The infusion ports according to this invention incorporate an enlarged entrance orifice with a funnel shaped internal cavity which narrows down to a reduced diameter passageway. An articulating catheter valve is provided within the passageway which normally prevents the flow of fluids through the valve but can be penetrated by an external introduced filament such as a catheter. After implantation, an external filament which is fed through an incision in the patient as is guided by the port internal cavity into registry with the catheter valve. Continued feeding of the filament causes the catheter to pass through the valves. Thereafter, when a catheter is inserted, therapeutic agents infused within the patient, or body fluids can be withdrawn. Alternate embodiments disclose means for providing a change in direction of the an introduced filament inserted through the infusion device. Additional embodiments disclose the concepts of providing a antimicrobial fluid bath within the device for prevention of infection and various approaches for securely connecting an internal catheter to an infusion port.
    • 一种用于植入的输注部件,其适于提供重复进入患者内的特定组织并通过内部植入导管与组织连通。 根据本发明的输液端口包括具有漏斗形内腔的扩大进口孔,其缩小到直径减小的通道。 在通道内设有一个关节式导管阀,通常可以防止流体流过阀门,但是可以被外部导入的细丝如导管穿透。 在植入后,外部细丝通过口腔内腔中的切口进入患者的切口,与导管瓣膜对准。 长丝的继续供给导致导管穿过阀门。 此后,当插入导管时,可以撤出注入患者体内的治疗剂或体液。 替代实施例公开了用于提供插入通过输注装置的引入的细丝的方向改变的装置。 另外的实施方案公开了在装置内提供抗微生物流体浴以防止感染的概念和用于将内部导管牢固地连接到输注端口的各种方法。
    • 2. 发明授权
    • Implantable access devices
    • 可植入的接入设备
    • US5356381A
    • 1994-10-18
    • US158042
    • 1993-11-24
    • William D. EnsmingerJames A. KnolJames C. Andrews
    • William D. EnsmingerJames A. KnolJames C. Andrews
    • A61M39/02A61M39/06A61M11/00
    • A61M39/0606A61M39/0208A61M2039/0211A61M2039/062A61M2039/0633A61M2039/064A61M2039/0666A61M2039/0686
    • An access port (10) for implantation adapted for providing repeated access to specific tissue within a patient and communicating with the tissue by an internal implanted catheter (52). The access ports according to this invention incorporate an enlarged entrance orifice (13) with a funnel shaped internal cavity that narrows down to a reduced diameter passageway (18). An articulating catheter valve (24) is provided within the passageway which normally prevents the flow of fluids through the valve but which can be penetrated by an external introduced filament (32) such as a catheter. After implantation, an external filament (32) is introduced into the port (10) and guided by the passageway into registry with the catheter valve (24). Continued feeding of the filament (32) causes the filament to pass through the valve (24). Thereafter, with a catheter (32) inserted, therapeutic agents can be infused into the patient, or body fluids can be withdrawn. Alternate embodiments disclose various valve concepts (56) and means for providing a change in direction of an introduced filament inserted through the access device. Additional embodiments disclose the concepts of providing an antimicrobial fluid bath (98) within the device for prevention of infection and various approaches for securely connecting an internal catheter (52) to an access port.
    • 一种用于植入的进入口(10),其适于提供重复进入患者内的特定组织并通过内部植入的导管(52)与组织连通。 根据本发明的进入端口包括具有漏斗形内部空腔的扩大的入口孔(13),其缩小到直径减小的通道(18)。 在通道内设置有一个关节式导管阀(24),通常可以防止流体流过阀门,但是可以被外部引入的细丝(例如导管)穿透。 植入后,将外部细丝(32)引入端口(10)并由通道引导与导管阀(24)对准。 灯丝(32)的继续进给使灯丝通过阀门(24)。 此后,在插入导管(32)的情况下,可以将治疗剂输入患者体内,或者可以取出体液。 替代实施例公开了各种阀概念(56)和用于提供通过进入装置插入的引入的细丝的方向改变的装置。 另外的实施方案公开了在装置内提供抗微生物流体浴(98)以防止感染的概念和用于将内部导管(52)牢固地连接到进入端口的各种方法。
    • 6. 发明授权
    • Implantable infusion device
    • 植入式输液装置
    • US5053013A
    • 1991-10-01
    • US539793
    • 1990-06-18
    • William D. EnsmingerJames A. KnolJames C. Andrews
    • William D. EnsmingerJames A. KnolJames C. Andrews
    • A61M39/02A61M39/06
    • A61M39/0606A61M39/0208A61M2039/0211A61M2039/0223A61M2039/062A61M2039/0633A61M2039/064A61M2039/0653A61M2039/0686
    • In infusion port for implantation within a patient for providing repeated access to specific tissue within a patient and communicating with the tissue by an internal implanted catheter. The infusion port in accordance with this invention includes a housing having a funnel shaped inlet orifice which terminates in a reduced diameter guide passageway. Installed within the housing is an articulating catheter valve such as a leaflet valve assembly. The housing communicates with an exit passageway which is attached to an internal outflow catheter coupling the infusion port to a specific tissue within the patient. In use, a needle is used to penetrate the patient's skin and contacts the entrance orifice of the infusion port. The entrance orifice guides the needle point into alignment with and into the guide passageway. The guide passageway targets a small portion of the articulating catheter valve which can be in the form of a leaflet valve assembly. Once through the catheter valve, fluids may be infused into the patient through the needle or withdrawn from the patient. Alternatively, an external catheter or other filament can be placed in communication with the outflow catheter by feeding it in into the infusion port and into the implanted catheter after being introduced over a needle which is restricted from entering the implanted catheter.
    • 在用于植入患者体内的输液端口中,用于提供对患者内的特定组织的反复进入并通过内部植入导管与组织连通。 根据本发明的输液口包括具有漏斗形入口孔的壳体,其终止于直径较小的引导通道。 安装在壳体内的是诸如小叶瓣组件的关节式导管阀。 外壳与出口通道连通,该出口通道连接到将输注端口连接到患者体内的特定组织的内部流出导管。 在使用中,使用针穿透患者的皮肤并接触输液口的入口。 入口孔引导针尖与引导通道对准并进入导向通道。 引导通道瞄准可以是小叶瓣组件形式的关节式导管阀的一小部分。 一旦通过导管阀,流体可以通过针注入患者体内或从患者身体抽出。 或者,外部导管或其它细丝可以通过在被限制进入植入的导管的针上引入之后,通过将其输入到输注端口并进入植入的导管中而与流出导管连通。